Where does acute gastroenteritis come from?

Written by Li Ying
Gastroenterology
Updated on September 16, 2024
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Acute gastroenteritis is primarily an acute inflammation of the gastrointestinal mucosa. It is mainly characterized by symptoms such as nausea, vomiting, diarrhea, and fever, and is commonly seen in the summer and autumn seasons. It is primarily caused by improper diet, overeating, or consumption of raw, spoiled, or unclean food. The condition is mainly due to bacterial or toxin infection, often seen in group outbreaks or family clusters. It can be caused by the consumption of infected fish, meat, poultry, or seafood, or by leftovers contaminated with Staphylococcus aureus, among others. Moreover, accidental ingestion of strong acids, strong alkalis, or certain pesticides can also cause this disease.

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Written by Ren Zheng Xin
Gastroenterology
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How to reduce fever in acute gastroenteritis

Acute gastroenteritis generally manifests as fever, abdominal pain, and diarrhea. If the fever does not exceed 38.5°C, antipyretic medications can be used, along with physical cooling methods such as wiping the patient's forehead, palms, and soles with a warm towel to facilitate heat dissipation through evaporation. If the fever exceeds 38.5°C, muscular injection of antipyretic drugs should be chosen, along with combined infusion therapy to prevent signs of physical collapse caused by high temperatures. At the same time, active use of antibiotics and antidiarrheal medications is advised. During treatment, a regular diet should be maintained, adopting the principle of eating small and frequent meals. Rest is important, and excessive fatigue should be avoided. (The use of medications should be under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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How to treat acute gastroenteritis?

The main principles of treating acute gastroenteritis clinically are to stop vomiting, stop diarrhea, relieve spasms, replenish fluids, and rest in bed symptomatically. For mild cases, oral intake of dilute salt water can be used to replenish lost body fluids. If there is frequent vomiting or obvious dehydration, intravenous fluids are necessary to maintain water and electrolyte balance. Sensitive antibiotics should be used to treat intestinal inflammation, but it is important to prevent antibiotic abuse. With active treatment, the prognosis for acute gastroenteritis is generally good. After treatment, attention should also be paid to diet; avoid eating unclean food, and consume less raw, cold, and spicy foods, while also paying attention to personal prevention.

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Written by Ren Zheng Xin
Gastroenterology
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What tests are done for chronic gastritis?

Chronic gastroenteritis is a chronic inflammation that occurs in the mucous membrane of the gastrointestinal tract. The basic pathological change is the infiltration of a large number of neutrophils or lymphocytes in the mucosa. Examinations mainly include endoscopy and routine stool tests. Gastroscope and colonoscopy can be used to assess the extent of mucosal lesions in the gastrointestinal tract, and routine stool tests can determine the presence of occult blood positivity. If there is blood in the stool, a routine blood test can also be conducted to check for chronic blood loss anemia. Based on the results of these examinations, the severity of the lesions can be understood, and appropriate medications can be actively chosen for symptomatic treatment.

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Written by Huang Gang
Gastroenterology
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Does acute gastroenteritis hurt?

When suffering from acute gastroenteritis, the inflammation can cause irregular and accelerated intestinal peristalsis, which may lead to intestinal spasms and colic. In such cases, the first step should be proactive anti-inflammatory symptomatic treatment. Then, applying a heat pack on the stomach and drinking more hot water can help alleviate the symptoms. If the pain is severe, and the patient is sweating profusely, looks pale, and has cold hands and feet, going to the hospital for an intramuscular injection of Scopolamine Butylbromide can relieve smooth muscle spasms and relax the muscles, thereby easing the pain. Therefore, it is important to pay attention to dietary hygiene. It is crucial to thoroughly heat or cook food taken out from the refrigerator before eating, as prevention is more important than treatment.

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Written by Zhai Guo Dong
Gastroenterology
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How to alleviate gastroenteritis?

If the patient has gastroenteritis, we recommend that the patient should rest in bed as much as possible. For patients with mild conditions, we can advise oral intake of glucose and electrolytes to replenish the loss of body fluids. If there is persistent vomiting or evident dehydration, intravenous rehydration with glucose saline and other relevant electrolytes is necessary. We encourage the intake of light liquid or semi-liquid diet to prevent or treat mild dehydration. Additionally, injections of pain relievers, antispasmodic drugs, and antidiarrheal medications can be administered for symptomatic treatment. For infectious diarrhea, targeted antibiotics can be used, but it is advised to avoid their misuse.